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General NPI Number Information
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NPI Number | 1790947059
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Entity Type | Individual
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Provider Name | LAURA ELIZABETH SCHLAUD PTA
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Gender | Female
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 38777 WEST 6 MILE ROAD
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City | LIVONIA
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State | MI
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Zip | 48152-2694
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Country | US
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Telephone | 734-452-0395
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Fax |
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Provider Business Mailing Address
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Address Line | 2465 DICKENSON DR
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48317-4552
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Country | US
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Telephone | 586-489-3517
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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